Limited Incision Rhytidectomy

What you should know

A limited incision rhytidectomy, or mini facelift, is surgery to removed signs of aging, such as wrinkles, extra fat, and loose skin. This surgery uses fewer, smaller incisions than a regular rhytidectomy.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

You may bleed more than expected or get an infection. You may not be happy with the results of your facelift. You may have scars or hair loss. Your face may swell or parts of your face may droop. You may have large bruises caused by bleeding in your face and neck. These bruises can cause tissue in your face and neck to be damaged. You may have pain in your jaw, which may make it hard for you to open your mouth. You may have nerve damage that causes parts of your face or neck to be weak or numb. You may need another surgery to fix these problems.

Getting Ready

The week before your surgery:

  • Write down the correct date, time, and location of your surgery.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • If you smoke, you may need to quit for at least 2 weeks before your surgery. This will help your incisions heal faster.

  • Your caregiver may take pictures of your face and neck to help plan your surgery. You may need blood tests before your surgery. Talk to your caregiver about these and other tests you may need. Write down the date, time, and location of each test.

The night before your surgery:

  • Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

  • Your caregiver will make small incisions in front of your ears, hairline, and lower jawbone. A small incision will also be made near the outer edge of your eyes. Your caregiver will gently lift your skin so he can see your facial tissue, fat, and muscles. Your caregiver may use stitches to attach tissue or fat to parts of your facial bones or fascia. Fascia is strong connective tissue in your face. Your caregiver may place an endoscope inside the incisions to see the tissue under your skin. An endoscope is a thin, bendable tube with a light and camera at the end.

  • Your caregiver may use thread to pull your tissue upwards. This thread also is used to lift your sagging cheeks and brows. Your caregiver will pull up the extra skin on your neck and chin. He may put glue over the tissue in your cheeks and forehead. This may add fullness to the area and help prevent bruising. A gel-like filler also may be used to add fullness to your face. The incisions will be closed with stitches and covered with bandages.

After your surgery:

You will be taken to a room to rest until you are fully awake. The head of your bed will be elevated to help decrease swelling. Your caregiver will remove your bandages to check for bruises and nerve damage. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be taken to your hospital room.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You have a fever.

  • You get a cold or the flu.

  • You have questions or concerns about your surgery.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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